Tag: SNFs

The New Postacute Care Payment Systems: 5 Tips to Help You Find Your Way

There’s no doubt about it: the new payment system that the US Centers for Medicare and Medicaid Services (CMS) put in place in October for skilled nursing facilities (SNFs), and the system that will start up for home health agencies (HHAs) on January 1, 2020, represent major changes by Medicare. And like most major changes, the new approaches have sparked myths, misunderstandings, and inaccurate interpretations—sometimes at the expense of physical therapists (PTs) and physical therapist assistants (PTAs) who work in the SNF and HHA settings and their patients.

Discussions on what would become the new systems—the SNF payment model is called the Patient-Driven Payment Model (PDPM) and the HHA approach is known as the Patient-Driven Groupings Model (PDGM)—began 3 years ago, and APTA immediately began a dialogue with CMS that continues to this day. Those interactions, fueled by strong grassroots efforts among APTA members and other stakeholders, have helped to shape final rules that are far from perfect but significantly less problematic than many of the early proposals from CMS.

Full story at APTA

Too Much Focus on Productivity Increases Risk of Unethical Behavior, Say Researchers

Employers that overemphasize productivity goals over evidence-based practice (EBP) may inadvertently set the stage for unethical behaviors by physical therapists (PTs) and physical therapist assistants (PTAs), say authors of an unedited new study published ahead of print in Archives of Rehabilitation Research and Clinical Translation. Organizational culture, say authors, is “the most easily changeable” factor in promoting ethical behavior.

In an email survey, researchers asked licensed PTs and PTAs in the state of Texas about their practice settings, their employers’ use of productivity goals, and observed unethical behaviors, such as inappropriately discharging patients or falsifying or changing documentation.

The majority of the 3,446 respondents were women (70.5%) and had been practicing an average of 15 years. One-third of respondents were PTAs. The most-represented practice settings were skilled nursing facilities (SNFs) (23.1%) and private outpatient clinics (17.7%).

Full story at APTA

The More Things Change, the More They…Change: CMS Announcements Dominate Top PT in Motion News Stories for 2018

Looking back over 2018, it’s hard to overstate the magnitude of Medicare-related changes experienced by physical therapists (PTs), physical therapist assistants (PTAs), and their patients. It was a year that included the end of the hard cap on therapy services under Medicare and the announcement of the inclusion of qualifying PTs in its Quality Payment Program starting in 2019—a dramatic shift toward value-based payment. And did we mention the launch of new requirements for skilled nursing facilities (SNFs) beginning later in 2019?

While payment news is almost always of interest to PT in Motion News readers, keeping up with the US Centers for Medicare and Medicaid Services (CMS) was apparently top-of-mind in 2018, as Medicare-related stories dominated this year’s list of most-read News items.

Full story at APTA

Second Innovation 2.0 Learning Lab Coming July 12: Clinical Care Pathways, From Acute to Postacute Care

APTA members will have another opportunity to hear firsthand from physical therapy innovators pursuing new, creative models of care when the association hosts the second of 4 online “Learning Lab” events July 12, 1:00 pm-4:00 pm ET.

The July 12 event will focus on clinical care pathways and transitions of care from acute care hospitals to skilled nursing facilities (SNFs) and other postacute care settings. The project was developed as part of the APTA Innovation 2.0 program.

Conducted through the University of Utah in Salt Lake City and led by Robin Marcus, PT, PhD, the project examines a partnership between a contract provider of physical therapist services to local SNFs and the University of Utah physical therapy program .The project has developed evidence-based care pathways for patients with hip fracture, total hip arthroplasty, and total knee arthroplasty. In this model, physical therapists are working collaboratively within the health care system to improve value-driven outcomes.

Full story of clinical pathways learning lab at APTA

Hospital ‘Preferred Provider’ Lists Put Pressure on SNFs

A recent article in Modern Healthcare says that with increasing frequency skilled nursing facilities (SNFs) are being forced to compete for a coveted place on a hospital’s list of “preferred facilities” that will receive the bulk of the hospital’s referrals. According to the article, the results seem to be paying off—both in terms of improved patient outcomes and lower costs.

Reporter Melanie Evans tracks trend by focusing on several hospitals that have adopted an “aggressive new strategy” of creating a shortlist of SNFs that will be recommended to patients after discharge. These preferred facilities are accepted based on a host of outcome data from state health reports and Medicare quality measures, including length of stay and readmission rates, in addition to questionnaires and interviews from the hospital.

Full story of hospitals preferred provider lists at APTA